Mental Health Among Military Personnel and Veterans

Pickett, Treven C.; Rothman, David J.; Crawford, Eric F.; Brancu, Mira; Fairbank, John A.; Kudler, Harold

doi:10.18043/ncm.76.5.299

Cited by 15 publications

(10 citation statements)

References 36 publications

(33 reference statements)

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“…colleagues [8], there is also a large cohort of younger veterans from Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) who have registered for VA health care over the past 10 years. Compared to age-matched Americans, veterans enrolled in VA are poorer and have more complex medical conditions.…”

Section: Veterans Affairs (Va) Facilities In North Carolinamentioning

confidence: 99%

“…The commentary by Parker and colleagues [12] describes resources to help caregivers understand military culture; provides a table where readers can learn more about VA benefits, North Carolina VA health care facilities, Vet Centers, and crisis support lines; and gives information about the Choice Act. Similarly, Pickett and colleagues [8] provide a table with website links to a rich set of VA and non-VA resources, including some programs specific to North Carolina. Finally, resources such as mobile apps can be accessed at the VA App Store [19], and the Veterans Health Library is available through VHA's patient web portal [20].…”

Section: Resources To Better Serve the Needs Of North Carolina's Vetementioning

confidence: 99%

“…Many of the programs described in this issue build upon the evidence-based pillars of the PCMH model as delivered though a VA Patient Aligned Care Team (PACT) [22,23]. These programs address topics such as care of veterans with polytrauma, described by Howell and colleagues [10]; integrated primary care and mental health, covered by Pickett and colleagues [8]; telehealth programs, written about by Hoffman [7]; integrating chaplains into the health care team, discussed by Nieuwsma [14]; and enhancing the delivery of programs designed to prevent chronic illness, covered by Kinsinger [24].…”

Section: Building On Innovationsmentioning

confidence: 99%

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Utilizing Evidence to Address the Health and Health Care Needs of Veterans

Williams¹,

Jackson²

2015

North Carolina Medical Journal

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This issue brief focuses on opportunities to address the health needs of our nation's heroes-service members and veterans who have served the United States in the armed forces. Since the North Carolina Medical Journal (NCMJ) last examined this issue in 2008, the Veterans Affairs (VA) health care system has experienced growth in both the number of veterans served and the number of locations where services are provided. However, there has also been negative attention related to delays in care. Here we summarize the articles in this issue of the NCMJ that describe the resources available to veterans, the unique health needs of veterans, and successful examples of evidence-informed programs and policies that are being undertaken by the VA health care system to enhance care and address the concerns that have been raised about VA. Because veterans and service members receive care outside of the VA or Department of Defense health care systems and many of the programs described in this issue have promise for improving care in other health systems, as well, the topics addressed in this issue are of great importance for the entire health care community in the United States.

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Section: Veterans Affairs (Va) Facilities In North Carolinamentioning

confidence: 99%

Section: Resources To Better Serve the Needs Of North Carolina's Vetementioning

confidence: 99%

Section: Building On Innovationsmentioning

confidence: 99%

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Utilizing Evidence to Address the Health and Health Care Needs of Veterans

Williams¹,

Jackson²

2015

North Carolina Medical Journal

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“…Military personnel, considering the characteristics of their profession that include challenging working conditions, difficult and extreme training, specific military discipline, their obligation to be involved in the rules of armed commanding, principles of subordination, frequent changes, problems of adaptation to the military environment etc. may be exposed to stress at a higher rate than the civilian population, which can lead to psychological disturbances, primarily anxiety and depression, as well as burnout syndrome (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

Correlation Between Burnout Syndrome and Anxiety in Military Personnel

Vojvodić

Dedić

2020

Serbian Journal of Experimental and Clinical Research

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Professional military personnel are exposed to a large number of stressors every day at a higher rate than the civilian population, which can lead to psychological disturbances, primarily anxiety, as well as burnout syndrome. Th e aim of our investigation was to determine the correlation between burnout syndrome and anxiety in military personnel of the Serbian Armed Forces. Th e cross-sectional study included a total of 311 professional military personnel (officers, non-commissioned officers and professional soldiers), between 23 to 53 years of age (35.3±7 years, on the average) without previous diagnosis of mental disorder. For purpose of this study we used Maslach Burnout Inventory (MBI) and Beck Anxiety Inventory (BAI). MBI contains three subscales, which measure three components of burnout: Emotional exhaustion (EE), Depersonalization (DP) and Personal accomplishment (PA). Th e statistical analysis included parametric and non-parametric descriptive statistics. Th e highest level of burnout was measured on the subscales Emotional exhaustion (EE) in military personnel from 23 to 30 years old (p<0.05), while anxiety increased with age of military personnel (p<0.001). Total scores on the subscales Emotional exhaustion (EE) and Depersonalization (DP) increased, while on the subscale Personal accomplishment (PA) decreased with the increase of the total BAI score (p<0.001). Th ere was a correlation between burnout syndrome and anxiety in professional military personnel of Serbian Armed Forces. Improving the financial situation, paid recreational breaks and reduction of professional obligations could decrease anxiety and affect the prevention of the occurrence of burnout syndrome in the military environment.

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“…Die Entstehung von "Störungen der geistigen Gesundheit" (engl. "mental health disorders") bis hin zu einer posttraumatischen Belastungsstörung (PTBS) ist beim militärischen Personal nach Einsätzen bekannt [4,5] und wird mit unterschiedlichen Angaben statistisch erfasst [6]. Es werden Erkrankungsraten von 7,6 % [7] bis hin zu 18 % gefunden [8], was vor allem von den Methoden abhängt, mit denen die Gesundheitsstörungen diagnostiziert werden [9].…”

unclassified

Die neue Qualität in der Fliegerei – Unbemannte Luftfahrzeuge (UAV) – Psychologischen Belastungen von militärischen Drohnenoperateuren vorbeugen

Werner¹,

Kreutzmann²,

Glowka³

et al. 2016

Flug u Reisemed

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Ferngesteuerte, unbemannte Luftfahrtsysteme (UAV), auch Drohnen genannt, sind die neue Dimension des Fliegens. Milit?risch wurden sie in der Vergangenheit intensiv in den Konflikten im Irak und in Afghanistan eingesetzt, mittlerweile jedoch auch weltweit und stellen den erg?nzenden, zuk?nftigen Weg in der Kriegsf?hrung dar. Es ist seit Langem bekannt, dass das milit?rische Personal w?hrend und nach Eins?tzen psychische St?rungsbilder entwickeln kann, Milit?rpiloten beziehungsweise das fliegende Personal sind davon nicht ausgenommen (15,9?/?1000 Personenjahre). Vor dem Hintergrund, das Drohnenoperateure weniger gef?hrdet sein sollen, weil sie physisch nicht direkt in das Kriegsgeschehen involviert sind und ihre Eins?tze weit weg vom Geschehen durchf?hren, kommen zunehmend Berichte aus den USA, dass es wohl doch Anhaltspunkte hierf?r zu geben scheint. W?hrend der letzten Jahre wurden typische Symptome auch des posttraumatischen Belastungssyndroms (PTBS) bei solchen Personen beschrieben, die eine starke Beeintr?chtigung der Gesundheit darstellen (25,0 pro 1000 Personenjahre). Soweit bekannt, gibt es bei der U.S. Air Force (USAF) die einzigen UAV-Operateure, die direkt in kriegerische Auseinandersetzungen mit zerst?renden Waffensystemen eingreifen. Besonders bei diesen Personen konnte ein starker Anstieg von psychischem Stress, M?digkeitssymptomen und mentalen Erkrankungen diagnostiziert werden. Jedoch konnte kein signifikanter Unterschied von PTBS, Depressionen oder Angstzust?nde zwischen den Operateuren und Piloten gezeigt werden. Die deutsche Luftwaffe hat ebenfalls begonnen, solche Luftfahrtsysteme zu nutzen, bislang werden sie allerdings nur zu Aufkl?rungszwecken eingesetzt. Nach derzeitigem Kenntnisstand konnte bei deutschen Operateuren bisher kein Anstieg von mentalen Erkrankungen gefunden werden, Ein solcher ist aber zu vermuten, wenn die Technologie mit seinen M?glichkeiten weiter genutzt wird, gegebenenfalls auch zu Kampfeins?tzen. Daher sollte sowohl in der Politik als auch in der Medizin eine verst?rkte Aufmerksamkeit auf die Entstehung psychischer Erkrankungen infolge des zunehmenden Einsatzes von Drohen ? insbesondere bei deren Nutzung als Waffensystem ? gerichtet sein.

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Mental Health Among Military Personnel and Veterans

Cited by 15 publications

References 36 publications

Utilizing Evidence to Address the Health and Health Care Needs of Veterans

Utilizing Evidence to Address the Health and Health Care Needs of Veterans

Correlation Between Burnout Syndrome and Anxiety in Military Personnel

Die neue Qualität in der Fliegerei – Unbemannte Luftfahrzeuge (UAV) – Psychologischen Belastungen von militärischen Drohnenoperateuren vorbeugen

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